0

SAID#: 29249

TRANSMITTAL OF OMAHA LEAD SITE 

SOIL REMEDIATION FILE FOLDER 

 DATE; 1/15 

ADDRESS: 1508 OHIO ST 

REMEDIATION CONTRACTOR; PRUDENT TECHNOLOGIES. INC. YEAR; 201(t 

SOIL REMEDIATION 

PROPERTY FILE FOLDER DOCUMENTS 

m PRE AND POST VIDEO OF PORPERTY (DVD) 

EJ EXECUTIVE SUMMARY 

[ ^ EPA-PROVIDED PROPERTY SKETCH 

m SIGNED ACCESS AGREEMENT FOR SUBJECT PROPERTY 

D SIGNED ACCESS AGREEMENT{S) FOR ADJACENT PROPERTY 

td RESTORATION AGREEMENT 

D SETTLEMENT DOCUMENTS (I.E., FOR DAMAGE OR TO REPLACE PLANTS, ETC.) 

0 ^ CONFIRMATION DATA 

OM>HOTOGRAPHS , 

 AS-BUILT SKETCH 

H SATISFACTORY RESTORATION SIGNED BY PROPERTY OWNER 

a PROPERTY CLOSE-OUT CHECK LIST SIGNED BY EPA 

D DESCRIPTION OF AREAS NOT MEETING ROD CLEANUP CRITERIA 

El UTILITY CLEARANCES 

0 ^ PROPERTY INFORMATION FROM DOUGUVS COUNTY ASSESSOR'S OFFICE 

D 

D 

D 

Q'^'^fy i\\-m 

SIGNATURE DATE 

30218307 

Superfund 
PROPERTY SUMMARY 

Date: /15/2010 Omaha Lead Site Remedial Action Contract # EP-R7-07-06 TO#l Month of: 

Property Address: 1508 OHIO ST 

A. EXECUTIVE SUMMARY 

A.1 Issues Encountered: NONE 

A.2 Issues Resolved: NONE 

A.3 Unique Findings: NONE 

A.4 Other Relevant Information: NONE 

CONFIRMATION SAMPLING DATA/RESULTS: 

Fl = 176 PPM @ 13"; F2 = 117 PPM @ 13"; Bl = 743 PPM @ 13"; B2 = 321 PPM @ 13"; 

NO EASEMENT 

ATTACHMENTS 

1) Property sketch provided by EPA pursuant to contract specifications 

2) Signed Access Agreement including access agreements required for crossing other properties 

3) Pre-Excavation digital video clip/photographs 

4) Post-Excavation digital video clip/photographs 

5) Documentation - Completed Close-out Checklist 

6) As-Buih sketchi) Shall include final lead levels v) Legend 

ii) Contamination left behind areas vi) Contractor identification 

iii) Property address vii) Date 

iv) BVID number 

7) Other items to be included in the individual property file, if available, or obtained include: 

i) Pre-excavation agreement details (if any are made with the property owner) 

ii) Property Status Form signed by property owner 

iii) Excavation digital video in MPEG, WMV (Windows Media Video) or SWF (Flash Player) format and/or 

photographs 

iv) Signed form verifying satisfactory restoration 

v) Description of areas not meeting Interim ROD cleanup criteria. 

TECHNOLOGIES, INC. 
Find Record 

Backfill: 

Sample Area: 29249 - 1508 OHIO ST 

Owner: 

D Owner Occupied 

Owner Name: 

jCHAPMAN Mrm S L 

Owner Addressl: 

r 

Owner Address2: 

21453 E 54 PL 

City: State: Zip Code: 

(DENVER ~ |C0 J80249-

Owner Phone Alternate Phone: 

I 

Contract: 

Contractor: JPRUDENT2010_S 

Contract Option JOPTION 1 

Remediation Query j Lead Remaining Query J Property Damage Query 

User Provided Owner Information 

Owner Name: 

Owner Address: 

City: State: Zip Code: 

Owner Phone: Alternate Phone: 

I 

Assessment: 

Qualifying Group J400 

Assessment Max XRF Value | 518.44 

Resident: 

Resident Name: 

I 

Property Address: 

11508 OHIO ST 

Zip Code: 

|68110-

Resident Phone 

I 
TECHNOLOGIK ; tNC. 

EPA Property Close Out 

Property #: 7^1'+' ^ 

Date/Time: 

Quads Excavated: F( r F Z. ^1^' / ^"2-

Property Address: 1^0^ OV^o^-^. 

Owner's Name: C\\j^i^ ^»wiX<\ 

Contractor Group: Pnident Technologies, Inc., 

Excavation General 

Yes No 

1. If necessary, were the correcl quadjrant(s) excavated and restored? J 

2. If necessary, were the correct areas of drip zone excavated and restored? / 

Grading Sod and Vegetation Yes No 

1. Does the grading around the perimeter of the house in excavated areas generally slope away 

from the house? / 

2. Has sod been laid in all areas that were excavated? i 

3. Does the sod appear to be generally healthy and growing? (Only evaluate if inspected at a 30 

day time period) 

4. Are sodded areas generally fimi and evenly graded? 

5. Are the joints between the sod strips generally tight? (Only evaluate if inspected at a 30 day 

time period) J 

6. Was the property graded such tliat water will not pool on tlie property? / 

7. Was dainage lo landscaping or plant materials avoided? 1 

Gates, Fences and Retaining Walls Yes No 

1. Do gates open and close freely? (If applicable) / 

2. Were all gates or fences taken down during restoration activities reinstalled? (If applicable) / 

3. Was damage to gates or fences avoided? (If applicable) / 

4. Was damage lo retaining walls avoided? (If applicable) / 

Foundation, Siding and Gutters 

Yes No 

1. Was damage to the siding or trim avoided? 

/ 

Was damage to the foundation avoided? 7 

Was damage to windows avoided? 7 

4. Was damage to windows or door screens avoided? 

7

/ 

5. Was damage to downspouts or downspout extensions avoided? 

Sidewalks and Driveways (Concrete) Yies No 

Was damage to driveway surfaces avoided? 

2. Was damage to walkway surfaces avoided? y 
Owners comments: 

Inspection notes: 

Removal and restoration activates complete including the 30-day sod warranty: 

EPA Representative A^^Si*, ^Date: ibijii 
>RUD 

rHNDCDGIES. INC 

AS - BUILT DRAWING 

OLS#29249 

Date Excavated: 10/08/2010 

IISEPA Signed-Off Date: OMAHA LEAD SUPERFUND SITE

29249 

Omah Extefior Paint North Arrow Owner Name: COLORADO CLASSIC PROP a Lead Site • Good Address: 1508 OHIOST Site Sketch • Poor 

Phone: H' 

W: 

0 ^ Not paint 1

Sampl Lead Sample Samples Collected e Numbier LAB Concentration Collected Finn: >\SKI1 RS\ AJ -

RYASCPXA-29249 F1 ppm Ef D Date: n - ib - o L 

RYBSCPXA-29249 F2 ppm D Time; 3 : i*;pf>->. 

RYCSCPXA-29249 Bl 5/g ppm 

D Samples /Analyzed RYDSCPXA-29249 82 ppm 

«DgSCPXA 203'IB -02 

n ppm D XRF Unit /OO l Bool<: 773 

r^OZSCPXA 20240 -Gi ppm D D Date: I-? -J2'^ U 

•nPZ6CPXA-20240 -P2- ppm D D Time ^XX . D 

Numt)er of Samples = Staff: y7su

Legend: F1 = Front Left, F2 = Front Rigtit, B1 = Back Left, B2 = Back Right DZ = Drip Zone, GZ = Garden, PZ = Play 

All quadrants are as viewed from the street, facing property 

ENTERED 

NOV 2 7 2006 

6/8. ^ 5 1 

B2 = 32l PPM® 13" 

Bl= 743 PPM (a .Bx. 

13 ° % .io.W.': 

- - ^ __,_, ­

r 

F2- F.'. Fl= 176 PPM (d'dll 13" L ^ 

F2 = n7PPM ® 13" -=n .4.7.7 .H3.0. 

ie>Vo o: Si-- JRev4[ 

NO EASEMENT 

CONTRACT #: EP-S7-10-05 PRUDENT TECHNOLOGIES, INC. 
SEPA 

Property Completion Agreement 

This agreement documents the completion of removal activities performed on the below listed property. 

The property owner's signature indicates that the property owner is satisfied with the restoration of the 

subject property, and that no items are in question, now, or at any time in the future, excluding any 

remaining warranty (30 days total) except those items listed below, if any. 

Property ID: 

Property Address: /'So^ nk/n 

Owner: y/ u o-^ y^/^-y^UA 

Phone: ^(s^'^/.'-yi-^j^ y 

Restoration Items in Question: 

Item: 

Item: 

Item: 

Item: 

Item: 

Item: 

I agree restoration is completed. ^ 

L J I do not agree restoration is completed at (noted deficiencies above) 

/Sj^^rt^odyyy^'O 

Owner's Sigi Date 
Pnident Technologies. Inc. (Prudent) is under contract with the U. S. Hnvironmenial Protection Agency (tPA) to clean up Ieadcontaminaled soils at a number of properties located in Omaha, Nebraska, including the prppcny located at 

l-'O'i' CA'-'O -'a^nx.-l' __, The l-PA requests your permission to allow Prudent to perform a soil cleanup at this 

property to remove Icad-coniaminated soil. By signing this form, ijic property owner grants permission to Prudent lo perform 

activities related to Ihe cleanup including soil sampling, removal of lead-contaminated soil, and restoration of the referenced propeit)'. 

If you have any questions about the soil clcnntip plaiuicd for your properly, please contact Prudent south ofTicc .for Ihe Omaha Ixad 

Site cicanup-nt (402) 7J3-1188. General questions about the Omolia L^ad Site cleanup con be directed to ihc EPA Public Infurmalion 

Centers at (402) 731-3045 (Soulh Omaha office) or (402) 991-9583 (North Omaha ofTice). 

,. KjiiUom L.-^^'i ^ Property Access Granted By: 

(Please Print Name) 

. . / 

Properly Owner Signature: ?^/<^ ' ^y ^ y^u^/i^'''' yy:A \ fZ^li/'Z " i'SrjdP 

'' '•' (Signature) (Dale) 

PROPERTY INFORMATION 

(To be completed by rtsidtnl nnd/or property owner - please print) 

RESIDENT NAME: (^Owner. j) Renter 

RESIDENT ADDRESS: 

6VAV~A /'C- L\\V' > 

IF RENTAL, PROPERTY OWNED BY: 

OWNER'S MAILING ADDRESS; 

OWNER'S TELEPHONE NUMBER - HOME: J L WORK: 

AGE OF HOME?: YEARS. HOW LONG HAVE YOU LIVED HERE? YEARS. 

HAS THE EXTERIOR BEEN PAINTED OR COVERED WITH SIDING SINCE 19787 YES NO 

NUMBER OF OCCUPANTS UNDER 7 YEARS OLD: NUMBER OF OCCUPANTS 7 YEARS OLD AND OLDER 


NUMBER OF CHILDREN UNDER 7 YEARS OLD WHO PLAY IN THE YARD FOR 5 HOURS OR MORE PER WEEK: 


COMMENTS OR SPECIAL INSTRUCTIONS: (I.E. DOGS, ENTRY GATES, ETC.) 


AUIHORITY FOR ENVIRONMENI Al. RESPONSE ACTIONS; The activities lo be implemented by EPA under this agreement 

arc pursuant to Section 104 of CERCLA, 42 U.S.C. 9604. EPA's right ofaccess lo the property is provided for in Section 104(e) of 

CERCI.A. 42 U.S. C 9605(e), which provides entry for "determining Ihc need for response, or choosing or taking any response action 

under this title, or othenvise enforcing the provisions of the lille." 

8080 Ward Parkway, Suite 405 S600 S 10 St 4242 Medical Drive, Suite 4250 

Kansas City. MO 64114 Omaha, Nebraska 68107 San Antonio, TX 78229 

Phone: (816) 363-3703 Phone: (402)733-1188 Phone: (210)822-9588 

Fax: (816) 363-3707 Fax: (402)733-1883 Fax: (210) 579-6577 
• • 

29249 

Btteriof Paint. NCflhAlTOW Owner Name:::COLORADO CLASSIC PROP Omaha Lead Site • Good 

Address: 1508 OHIO ST ^'*® Sketch Q Poor 

Phone: H: w: g'Noepaiiiil 1

Sampl Lead Sampte , . _ Samples Coliected e Number 

Concentration Coitected Ffrm: Kaw t gs1 AJ " 

RYASCPXA-29249 Fl 

H 7 7 ppm Ef D Dafee: n ~ vb '-o L 

RYBSCPXA-29249 F2 

*i30 pm [^ D Time: _Si±S^un^ 

RYCSCPXA-29249 B1 

5/ g ppnt Ef D Samples AnalyzEd 

RYDSCPXA-29249 82 4^1 ppm Q' D 

fiDZeCPXiyOi 203^0 02. •~ ppm D n XRF Unit: /0O 7 Bdcxk: 173 

nCgGCrXA-g0240 6Z Date: /7'/2-( ^ 

npzcGPX/'L soa^o—PZ- •"' ppm D n 

Time: ^322 

^ I Staff: /%L J Number of Samples = | A^ [ 

Legend: F1 = Front Left, F2 Front Right, 81 = Back Left, B2 = Back Right DZ= Drip Zone, GZ = Ganten, PZ ~ Play 

All quadrants are as viewed f«>m ttle stiset,. factno property 

; ENTBEED 

N0»Z7ZI!ffli : 

• • • • ' • 

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e5>Vo o : s^ . ' .... . Rev) 046Mt 
N 150

8 OHIO ST: 115X86.625 

A Printed

: Dec 10,2010 www

. dcgis.org/dogis 
10/7/2010 www.dhon.org/irthinternet/DHONNotic.. 

Create AnotherTicket; i_Backjojrth Intemet Send Email i 

YOUR TICKET NUMBER IS  2611527. 

Original Call Date: 10/07/10 Time: 1:21 pm Op: SIVA18967 


Work to Begin Date: 10/12/10 Time: 1:45 pm 


State: NE County: DOUGLAS Place: OMAHA 


Address: 1508 Street: OHIO ST 


Twp: 15N Rng: 13E Sect-Qtr: 10-SE-SW 


Twp: Rng: Sect-Qtr: 


Legal Given: C 


Type of Work: Lead Soil Remediation Project 


Location of Work: LOCATE ENTIRE PROPERTY 


Remarks: FAX ALL CLEARS TO: (402)733-1883 


: UNSURE CORNERS 


Company : PRUDENT TECHNOLOGIES 


Contact Name: SIVA JAMPAMA Phone: (402)733-1188 


Work Being Done For: EPA 


Depth of Excavation: 6 FT Corner Lot: N Front: Y Rear: 


Involves Tunneling or Horizontal Boring : N Explosives: N 


CXCATV MCINEB MUDOl OMAHACOF 0PPDGPR5 QLNNEIC 


Utility Service Area Contact nmne Number 

TVpe 

Day: 4029340469 


CXCATV COX COMMUNICATIONS, INC HEIDI Alt: 4029340469 


Emerg: 4029329757 


Day: 8002893427 


NO CALL PER MCINEB MCI Alt: 

MEMO 

Emerg: 8002893427 

Day: 4025047823 


METROPOLITAN UTDJTIES 

MUDOl SANDY Alt: DISTRICT 

Emeig: 4025047970 


Day: 4024447197 


CITY OF OMAHA- OMAHACOF RICHTRAFFIC Alt: 4024445161 

TRAFFICSEWER 

Emerg: 4024445160 


dhon.org/irthintemet/.../MessageTextas.. 1/2 
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0PPIXJPR5 O*^;TM"^*^* ^

^

 EU^ LOCATING

 Day: 4067289343 

 A t 4062071494 

Emerg: 8887289343 

QLNNEIC QWEST LOCAL NETWORK ELM LOCATING

Day: 4067289343 

 Alt: 4062071494 

Emerg: 8887289343 

dhon.org/irthinternet/.../MessageTextas... 2/2 
ENVIRONMENTAL 

ENGINEERmG AND 

CONSTRUCTION lEBMNOUkees, INC. 

SOLUTIONS 

SITE SAFt:TY HAZARD ANALYSIS 

Address: ^-^i^ i B1I±Q__ST ^ Excavation Date: U2lOZjP 

Crew: --/?Z^.:2:Z'::2zr.zC»ri£ctro Backfill Date: 

Item Condition Hazards Corrective Action 

Overhead Lines 

Gas Line 

Water Line ^S£^ 7 ^^e? Sewer Line 

Septic/Leech 

Field ^UyiSL br<y,<^f-i o ^.^ ^ /Z2f^^ 

Propane/Butane 

Sidewalk (^^y^hVc.h 5Tcp o 

Foundation 

Retaining Walls Cy\r^ r [yr^^v y Cn y/^^tan ^^ ;? 

Fences 

Trees 

Structures 

Driveway 

Sprinkler System 

Other 

Crew Foreman Site Safety Office 

Date: 

8080 Waiiet Raitany, Suite 405 seoosiost 4242 Medical Drive, Suite 72S0 

Kansas Gi|y.llO«4114 Omaha, NctaMka 68107 San Antonio, TX 78229 

Phons: (816) 363-3703 PtKNW: (402)733-1188 Phone: (2t0) 822-9588 

Fax: (816)363-3707 rax: (402)73»'1«83 Fax: (210)679-6577 
• y * 

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v.-f: